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- 2019
Epidemic Clostridioides difficile Ribotype 027 Lineages: Comparisons of Texas Versus Worldwide StrainsDOI: 10.1093/ofid/ofz013 Keywords: anaerobe infections, antimicrobial stewardship, molecular epidemiology, whole genome sequencing Abstract: The epidemic Clostridioides difficile ribotype 027 strain resulted from the dissemination of 2 separate fluoroquinolone-resistant lineages: FQR1 and FQR2. Both lineages were reported to originate in North America; however, confirmatory large-scale investigations of C difficile ribotype 027 epidemiology using whole genome sequencing has not been undertaken in the United States
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